Individual provider Active NPI

Mark S Plessman, OTR/L

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1326060658
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-600 Issued in WY
Practice address
2665 E 2ND St
Casper, WY 82609-2045
Phone
(307) 337-1740
Fax
(307) 337-1739
NPI assigned
Jul 24, 2006
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR-600 WY Primary

Addresses

Primary practice location

2665 E 2ND St
Casper, WY 82609-2045

Mailing address

2665 E 2ND St
Casper, WY 82609-2045
Phone (307) 337-1740

Other practice location 1

201 E 2nd St
Suite 12/18
Casper, WY 82601-2582
Phone (307) 472-3327

Other identifiers 1

IdentifierTypeStateIssuer
120069100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000524 WY Practitioner - Occupational Therapist in Private Practice 9739149113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
307 Physical TherapyGroup PAC ID 1759638596, 5 clinicians

Practice addresses (Care Compare)

2665 E 2ND St
Casper, WY 82609-2045
Phone (307) 337-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
600WYMDChiropractor
OTR-600WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
307 Physical Therapy CurrentSince Dec 16, 2022 Accepting new patients

Locations

2665 E 2nd St
Casper, WY 82609
Phone (307) 337-1740

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1326060658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045",
            "telephone_number": "307-337-1740",
            "fax_number": "307-371-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045",
            "telephone_number": "307-337-1740",
            "fax_number": "307-337-1739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 2nd St",
            "address_2": "Suite 12/18",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012582",
            "country_code": "US",
            "telephone_number": "307-472-3327",
            "fax_number": "307-472-0297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLESSMAN",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120069100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.